Displaying 167611-167620 of 1611142 results.
ID:
167611
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167612
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167613
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167614
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167615
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167616
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167617
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167618
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167619
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167620
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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